Torticollis

What is torticollis?

Torticollis is a sign of underlying disorder that is characterized by asymmetric posturing of the head and neck. The majority of infants who present with torticollis during the first year of life have congenital muscular torticollis (CMT). CMT is caused by tightness in the neck muscles called the strenocleidomastoid (SCM). A study, done by UCSD Medical Center and UCSF School of Medicine, reports that as many as one in six newborns have torticollis. CMT can be identified as early as birth or during the first few months of life.

The child with torticollis typically has the general ability to turn his/her head in all directions when prompted, however full end-range motion may be limited in one or two directions on the non-preferred side. The child may demonstrate a favored head posture that can be mild or severe. The extent of the head tilt/turn preference may vary during the day, but is usually most noticeable when the child is sleepy, fussy or hungry. Infants who prefer to turn their head towards one direction (especially during sleep) are at high risk of quickly developing cranial asymmetry or cranial flat spots.

How can I recognize it in my child?

Signs of torticollis may include any combination of the following symptoms:

Preference to tilt head sideways towards one side

Preference to turn face towards one side (Referring to past baby photos can help parents recognize these postural preferences)

Torticollis can lead to the following associated conditions:

Trust

Being a critical care registered nurse I tend to ask many questions, and found her to be incredibly knowledgeable. The best part of working with Sophie, however, was her demeanor and ability to work with my daughter in a kind and playful way. She was clear in letting us know exactly what exercises needed to be done at home to keep us progressing, and always was available via email or phone for any questions or just for general support.